Provider Demographics
NPI:1508183781
Name:PELLE, JOSEPH M (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:PELLE
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Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:840 CENTRAL PKWY E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5551
Mailing Address - Country:US
Mailing Address - Phone:972-578-7800
Mailing Address - Fax:972-867-9211
Practice Address - Street 1:3455 N BELT LINE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7860
Practice Address - Country:US
Practice Address - Phone:972-578-7800
Practice Address - Fax:972-827-0162
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX192011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics